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The "mental illness" suffered by a human stuck in the Mythic World.

The Earth's continued split between the spiritual and the material is a wound carefully maintained by Lord Entropy. He wants humans to be blind to the spirit world, so that they will treat objects as means rather than ends in and of themselves.

Left to its own, the split will heal -- humans, for example, can learn to navigate both mythic and prosaic reality. This takes practice and teaching, which allows there to be an occult underworld in this game.

But it also means that Nobles can't disregard the impact of their miracles on human bystanders. They can try and "bring them over", or they can hire the Cammora to "clean up" the loose ends, as they choose to. But they can't ignore the problem.